| NPI | 1144703596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1028058) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9860) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |